Provider Demographics
NPI:1750521431
Name:SAPIENZA, M MELANIE (PHD)
Entity type:Individual
Prefix:DR
First Name:M MELANIE
Middle Name:
Last Name:SAPIENZA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 ROXBY WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8852
Mailing Address - Country:US
Mailing Address - Phone:916-880-8789
Mailing Address - Fax:916-782-5344
Practice Address - Street 1:6 MEDICAL PLAZA DR
Practice Address - Street 2:SUTTER REHABILITATION INSTITUTE
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3037
Practice Address - Country:US
Practice Address - Phone:916-878-2678
Practice Address - Fax:916-878-2622
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20106103G00000X
MA6123103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE3615Medicare UPIN
CACH210AMedicare UPIN